Read by QxMD icon Read


Christine Y Chang, Emmanuelle Fréchette, Faride Unda, Shawn D Mansfield, Ingo Ensminger
Rising global temperature and CO2 levels may sustain late-season net photosynthesis of evergreen conifers but could also impair the development of cold hardiness. Our study investigated how elevated temperature, and the combination of elevated temperature with elevated CO2, affected photosynthetic rates, leaf carbohydrates, freezing tolerance, and proteins involved in photosynthesis and cold hardening in Eastern white pine (Pinus strobus). We designed an experiment where control seedlings were acclimated to long photoperiod (day/night 14/10 h), warm temperature (22°C/15°C), and either ambient (400 μL L(-1)) or elevated (800 μmol mol(-1)) CO2, and then shifted seedlings to growth conditions with short photoperiod (8/16 h) and low temperature/ambient CO2 (LTAC), elevated temperature/ambient CO2 (ETAC), or elevated temperature/elevated CO2 (ETEC)...
October 2016: Plant Physiology
Anai N Kothari, Ryan M Yau, Robert H Blackwell, Colleen Schaidle-Blackburn, Talar Markossian, Matthew A C Zapf, Amy D Lu, Paul C Kuo
BACKGROUND: Discharge location is associated with short-term readmission rates after hospitalization for several medical and surgical diagnoses. We hypothesized that discharge location: home, home health, skilled nursing facility (SNF), long-term acute care (LTAC), or inpatient rehabilitation, independently predicted the risk of 30-day readmission and severity of first readmission after orthotopic liver transplantation. STUDY DESIGN: We performed a retrospective cohort review using Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases for Florida and California...
July 2016: Journal of the American College of Surgeons
Anil N Makam, Oanh K Nguyen, Jie Zhou, Kenneth J Ottenbacher, Ethan A Halm
OBJECTIVE: To assess regional trends in long-term acute care hospital (LTAC) use over time. DESIGN SETTING PARTICIPANTS: Retrospective study using 100% Texas Medicare data. Separate cohorts were created for each year from 2002-2011, which included all beneficiaries residing in 23 hospital referral regions (HRRs) with continuous enrollment in Parts A and B in the previous and current year, or until death. MEASUREMENTS: LTAC utilization rate was defined as the number of individuals with a LTAC stay per 100,000 Medicare beneficiaries residing in the HRR...
2015: Annals of Gerontology and Geriatric Research
Jeremy M Kahn, Amber E Barnato, Judith R Lave, Francis Pike, Lisa A Weissfeld, Tri Q Le, Derek C Angus
BACKGROUND: Long-term acute care hospitals (LTACs) provide specialized treatment for patients with chronic critical illness. Increasingly LTACs are co-located within traditional short-stay hospitals rather than operated as free-standing facilities, which may affect LTAC utilization patterns and outcomes. METHODS: We compared free-standing and co-located LTACs using 2005 data from the United States Centers for Medicare & Medicaid Services. We used bivariate analyses to examine patient characteristics and timing of LTAC transfer, and used propensity matching and multivariable regression to examine mortality, readmissions, and costs after transfer...
2015: PloS One
Renee Miller, Sarah Simmons, Charles Dale, Julie Stachowiak, Mark Stibich
Health care-associated transmission of Clostridium difficile has been well documented in long-term acute care facilities. This article reports on 2 interventions aimed at reducing the transmission risk: multidisciplinary care teams and no-touch pulsed-xenon disinfection. C difficile transmission rates were tracked over a 39-month period while these 2 interventions were implemented. After a baseline period of 1 year, multidisciplinary teams were implemented for an additional 1-year period with a focus on reducing C difficile infection...
December 1, 2015: American Journal of Infection Control
Manon R Haverkate, Martin C J Bootsma, Shayna Weiner, Donald Blom, Michael Y Lin, Karen Lolans, Nicholas M Moore, Rosie D Lyles, Robert A Weinstein, Marc J M Bonten, Mary K Hayden
OBJECTIVE: Prevalence of bla KPC-encoding Enterobacteriaceae (KPC) in Chicago long-term acute care hospitals (LTACHs) rose rapidly after the first recognition in 2007. We studied the epidemiology and transmission capacity of KPC in LTACHs and the effect of patient cohorting. METHODS: Data were available from 4 Chicago LTACHs from June 2012 to June 2013 during a period of bundled interventions. These consisted of screening for KPC rectal carriage, daily chlorhexidine bathing, medical staff education, and 3 cohort strategies: a pure cohort (all KPC-positive patients on 1 floor), single rooms for KPC-positive patients, and a mixed cohort (all KPC-positive patients on 1 floor, supplemented with KPC-negative patients)...
October 2015: Infection Control and Hospital Epidemiology
Pamela Ny, Paul Nieberg, Annie Wong-Beringer
BACKGROUND: Although high mortality associated with carbapenem-resistant Klebsiella pneumoniae (CRKP) bacteremia has been well described, the epidemiology and outcomes of nonbacteremic infection are unknown. METHODS: Medical charts of adults hospitalized for CRKP pneumonia or urinary tract infection between January 2011 and December 2013 were reviewed retrospectively for relevant demographic and clinical details. Cases were matched to controls (non-carbapenem-resistant, non-extended-spectrum beta-lactamase [ESBL]-producing K pneumoniae [NRKP]) by the primary site of infection and year of isolation and compared in terms of risk of acquisition and outcomes...
October 1, 2015: American Journal of Infection Control
Lane Koenig, Berna Demiralp, Josh Saavoss, Qian Zhang
BACKGROUND: Little evidence exists on the effects of receiving care in a long-term acute care hospital (LTCH). OBJECTIVE: To examine LTCH effects on mortality and Medicare payments overall and among high-acuity patients. RESEARCH DESIGN: A retrospective cohort study of Medicare beneficiaries using probit and generalized linear models. An instrumental variable technique was used to adjust for selection bias. SUBJECTS: Medicare beneficiaries within 5 major diagnostic categories and not on prolonged mechanical ventilation...
July 2015: Medical Care
N Sasanuma, K Takahashi, Y Itani, T Tanaka, S Yamauchi, S Mabuchi, N Kodama, M Ishihara, T Masuyama, Y Miyamoto, K Domen
BACKGROUND: Although numerous studies on Functional Independence Measure (FIM) analysis in stroke, orthopedic disease, and spinal cord injury patients have been conducted, it has rarely been done in patients undergoing cardiac rehabilitation (CR). AIM: To verify whether the Functional Independence Measure (FIM) score, and its subscale motor FIM and cognitive FIM, during inpatient CR can be a predictor of a patient's readiness for home discharge by establishing an FIM cutoff value...
December 2015: European Journal of Physical and Rehabilitation Medicine
Cecile Davis, Miriam Bender, Tyler Smith, Jason Broad
BACKGROUND: Chronic obstructive pulmonary disease (COPD) and heart failure (HF) are chronic diseases that impart significant health and care costs to the patient and health system. Limited access to health services affects disease severity and functional status. Telemonitoring has shown promise in reducing acute care utilization for chronic disease patients, but the benefit for the underserved has not been determined. We evaluated acute care utilization outcomes following an acute event of a 90-day transitional care program integrating telemonitoring technology and home visits for underserved COPD and HF patients...
September 2015: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Teena Chopra, Ellie J C Goldstein
Across the United States, the baby boomers are entering into their elderly years. As they are America's largest generation to do so to date, their need for care will greatly affect nursing homes, long-term care facilities, and long-term acute-care hospitals (LTACHs). Unfortunately, the rise of Clostridium difficile infection (CDI), particularly in extended-care facilities, might become the biggest obstacle in their care. Elderly extended-care-facility residents are at an elevated risk of CDI simply due to their advanced age and the fact that they are receiving care in an extended-care facility...
May 15, 2015: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
Stanley K McCallon, Clifton Frilot
UNLABELLED: Nonhealing, chronic pressure ulcers present a continuous challenge in the global health care venue, with decreased mobility and the effects of aging on skin placing the elderly at particular risk. Debridement is an important process to decrease risk of infection and promote healing. Enzymatic debridement with, for example, clostridial collagenase ointment (CCO) has been shown to assist with the achievement and maintenance of a clean wound bed in preparation for closure. Negative pressure wound therapy (NPWT) has also been used successfully for the treatment of wounds...
March 2015: Wounds: a Compendium of Clinical Research and Practice
Rupak Datta, N Neely Kazerouni, Jon Rosenberg, Vinh Q Nguyen, Michael Phelan, John Billimek, Chenghua Cao, Patricia McLendon, Kate Cummings, Susan S Huang
Across 366 California hospitals, we identified hospital-level characteristics predicting increased hospital-associated Clostridium difficile infection (HA-CDI) rates including more licensed beds, teaching and long-term acute care (LTAC) hospitals, and polymerase chain reaction testing. Adjustment for these characteristics impacted rankings in 24% of teaching hospitals, 13% of community hospitals, and 11% of LTAC hospitals.
April 2015: Infection Control and Hospital Epidemiology
Avelino C Verceles, Bethany Weiler, Dafna Koldobskiy, Andrew P Goldberg, Giora Netzer, John D Sorkin
BACKGROUND: In this study, we examined the association between 25-hydroxyvitamin D (25(OH)D) concentration and successful weaning from mechanical ventilation in a cohort of ICU survivors requiring prolonged mechanical ventilation. METHODS: This was a retrospective cohort study of ICU survivors admitted to a long-term acute care hospital. Demographic data were extracted from medical records, including 25(OH)D concentrations drawn on admission. Subjects were divided into 2 groups based on their 25(OH)D concentrations (deficient, < 20 ng/mL; not deficient, ≥ 20 ng/mL), and associations between 25(OH)D concentration and successful weaning were calculated...
July 2015: Respiratory Care
C Michael Dunham, Elisha A Chance, Barbara M Hileman, Laurie L Flowers, Kenneth J Ransom, Terrance A Puet
The primary objective was to evaluate the associations of the Injury Severity Score (ISS), age, Glasgow Coma Score (GCS), preexisting medical conditions (PEMC), and preinjury activities of daily living (ADL) Katz score with discharge disposition in surviving geriatric trauma patients.Data were obtained from the trauma registry. The preinjury Katz ADL score was prospectively ascertained.Of 184 consecutive surviving geriatric trauma patients with an ISS of 4 to 30, age was 80 ± 8 years and 75% fell. A PEMC was present in 93%...
January 2015: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
Mary K Hayden, Michael Y Lin, Karen Lolans, Shayna Weiner, Donald Blom, Nicholas M Moore, Louis Fogg, David Henry, Rosie Lyles, Caroline Thurlow, Monica Sikka, David Hines, Robert A Weinstein
BACKGROUND: Klebsiella pneumoniae carbapenemase-producing Enterobacteriaceae (hereafter "KPC") are an increasing threat to healthcare institutions. Long-term acute-care hospitals (LTACHs) have especially high prevalence of KPC. METHODS: Using a stepped-wedge design, we tested whether a bundled intervention (screening patients for KPC rectal colonization upon admission and every other week; contact isolation and geographic separation of KPC-positive patients in ward cohorts or single rooms; bathing all patients daily with chlorhexidine gluconate; and healthcare-worker education and adherence monitoring) would reduce colonization and infection due to KPC in 4 LTACHs with high endemic KPC prevalence...
April 15, 2015: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
Melissa J Tian, Ashis H Tayal, Elizabeth A Schlenk
Atrial fibrillation (AF) is a frequent cause of acute ischemic stroke that results in severe neurological disability and death despite treatment with intravenous thrombolysis (intravenous recombinant tissue plasminogen activator [rtPA]). We performed a retrospective review of a single-center registry of patients treated with intravenous rtPA for stroke. The purposes of this study were to compare intravenous rtPA treated patients with stroke with and without AF to examine independent predictors of poor hospital discharge outcome (in-hospital death or hospital discharge to a skilled nursing facility, long-term acute care facility, or hospice care)...
February 2015: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
Ying P Tabak, William R Jarvis, Xiaowu Sun, Cynthia T Crosby, Richard S Johannes
BACKGROUND: Intravenous needleless connectors (NCs) with a desired patient safety design may facilitate effective intravenous line care and reduce the risk for central line-associated bloodstream infection (CLA-BSI). We conducted a meta-analysis to determine the risk for CLA-BSI associated with the use of a new NC with an improved engineering design. METHODS: We reviewed MEDLINE, Cochrane Database of Systematic Reviews, Embase,, and studies presented in 2010-2012 at infection control and infectious diseases meetings...
December 2014: American Journal of Infection Control
David M Jacobs, Kristi Kuper, Edward Septimus, Raouf Arafat, Kevin W Garey
PURPOSE: To describe antimicrobial stewardship programs (ASPs) of acute and long-term acute care (LTAC) hospitals in Houston, Texas. METHODS: Two-part survey to clinical pharmacists and pharmacy directors. All acute care and LTAC facilities from the Harris County Medical Society database were invited to participate. RESULTS: In part 1 of the telephone survey, 82 facilities within Houston, Harris county, were contacted by telephone of which 51 responded (response rate: 62%)...
June 2016: Journal of Pharmacy Practice
Daniel L Young, Cathy Borris-Hale, Margaret Falconio-West, Debashish Chakravarthy
PURPOSE: The occurrence of pressure ulcers (PrUs) challenges care facilities. Few studies report PrU reduction efforts in long-term acute care (LTAC). This study described the PrU reduction efforts of a single, LTAC facility using the Medline Pressure Ulcer Prevention Program (mPUPP). DESIGN: This study was a quasi-experimental, quality improvement project, with pre- and postmeasurement design. METHODS: Outcomes were tracked for 24 months...
July 2015: Rehabilitation Nursing: the Official Journal of the Association of Rehabilitation Nurses
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"